DAYBREAK ADULT DAY CENTER
NPI 1720446479
Clinic/Center - Adult Day Care in Louisville, KY

NPI Status: Active since February 09, 2016

Contact Information

2120 PAYNE ST
LOUISVILLE, KY
ZIP 40206
Phone: (502) 895-9425
Fax: (502) 357-5549

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 18D0974343
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 06-04-2026

About DAYBREAK ADULT DAY CENTER

This page provides the complete NPI Profile along with additional information for Daybreak Adult Day Center, a provider established in Louisville, Kentucky operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1720446479 assigned on February 2016. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Daybreak Adult Day Center. The authorized official of this NPI record is Mr. Kevin J Wheatley Cpa (Cfo)

NPI
1720446479
Provider Legal Name
NAZARETH HOME, INC.
Other Organization Name
DAYBREAK ADULT DAY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2120 PAYNE ST LOUISVILLE, KY 40206
Location Phone
(502) 895-9425
Location Fax
(502) 357-5549
Mailing Address
2000 NEWBURG RD LOUISVILLE, KY 40205
Mailing Phone
(502) 459-9681
Mailing Fax
(502) 357-5549
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2016
Last Update Date
02-09-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEVIN J WHEATLEY CPA

Authorized Official Title
CFO
Authorized Official Phone
(502) 459-9681

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
750092MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0974343
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
June 05, 2024
Certificate Expiration Date
June 04, 2026
Laboratory Director
MS. ASHLEY COCHRAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Daybreak Adult Day Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DAYBREAK ADULT DAY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720446479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27408412414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 4 + 1 + 2 + 4 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1720446479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205292893NAZARETH HOME, INC.
Organization
Skilled Nursing Facility2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 595-9425
1679579379 LORA WELCH ARNP, FNP-C
Individual
Nurse Practitioner2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 895-9425
1881897833MERCY SACRED HEART, INC.
Organization
Clinic/Center (Adult Day Care)2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 895-9425
1841891645K TIERNEY LANHAM LLC
Organization
Nurse Practitioner (Family)2120 PAYNE ST
LOUISVILLE, KY 40206
(812) 491-1307
1518954114MERCY SACRED HEART, INC.
Organization
Nursing Facility/Intermediate Care Facility2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 895-9425
1295388221 KATHLEEN TIERNEY LANHAM MSN, APRN, NP-C
Individual
Nurse Practitioner (Family)2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 552-8597
1598593055 CHRISTA HILL
Individual
Occupational Therapy Assistant2120 PAYNE ST
LOUISVILLE, KY 40206
(502) 894-9425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720446479, enumerated in the NPI registry as an "organization" on February 09, 2016

The provider is located at 2120 Payne St Louisville, Ky 40206 and the phone number is (502) 895-9425

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 18D0974343 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 09, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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